Port Jefferson Psychological & Vocational P.C.
LBN: Port Jefferson Psychological & Vocational P.C.
Port Jefferson Psychological & Vocational P.C. is an health care organization with primary practice located at 5225-46 Route 347 , Port Jefferson Station NY 11776-2060. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Port Jefferson Psychological & Vocational P.C. can be contacted via phone (631) 928-4635, or through Long, Sarah C via phone (631) 928-4635.
Contact Information
Primary practice address
5225-46 Route 347
Port Jefferson Station NY 11776-2060
Phone: (631) 928-4635
Fax: (631) 928-4784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1598875692 |
|---|---|
| LBN Legal business name | Port Jefferson Psychological & Vocational P.C. |
| DBA Doing business as | |
| Authorized official | Long, Sarah C PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 22nd, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598875692 | NPPES |
| Other | 144865 | VALUE OPTIONS | |
| MEDICAID | 02416457 | VALUE OPTIONS | |
| Other | 7333181002 | VALUE OPTIONS | |
| Other | 211135000 | VALUE OPTIONS |
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